Combined Influence of Waist and Hip Circumference on Risk of Death in a Large Cohort of European and Australian Adults

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Fältnamn	Indikatorer	Metadata
000		04376naa a2200673 4500
001		oai:DiVA.org:umu-173913
003		SwePub
008		200806s2020 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1739132 URI
024	7	a https://doi.org/10.1161/JAHA.119.0151892 DOI
040		a (SwePub)umu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Cameron, Adrian J.4 aut
245	1 0	a Combined Influence of Waist and Hip Circumference on Risk of Death in a Large Cohort of European and Australian Adults
264	1	b John Wiley & Sons,c 2020
338		a electronic2 rdacarrier
520		a Background: Waist circumference and hip circumference are both strongly associated with risk of death; however, their joint association has rarely been investigated.Methods and Results: The MONICA Risk, Genetics, Archiving, and Monograph (MORGAM) Project was conducted in 30 cohorts from 11 countries; 90 487 men and women, aged 30 to 74 years, predominantly white, with no history of cardiovascular disease, were recruited in 1986 to 2010 and followed up for up to 24 years. Hazard ratios were estimated using sex‐specific Cox models, stratified by cohort, with age as the time scale. Models included baseline categorical obesity measures, age, total and high‐density lipoprotein cholesterol, systolic blood pressure, antihypertensive drugs, smoking, and diabetes mellitus. A total of 9105 all‐cause deaths were recorded during a median follow‐up of 10 years. Hazard ratios for all‐cause death presented J‐ or U‐shaped associations with most obesity measures. With waist and hip circumference included in the same model, for all hip sizes, having a smaller waist was strongly associated with lower risk of death, except for men with the smallest hips. In addition, among those with smaller waists, hip size was strongly negatively associated with risk of death, with ≈20% more people identified as being at increased risk compared with waist circumference alone.Conclusions: A more complex relationship between hip circumference, waist circumference, and risk of death is revealed when both measures are considered simultaneously. This is particularly true for individuals with smaller waists, where having larger hips was protective. Considering both waist and hip circumference in the clinical setting could help to best identify those at increased risk of death.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
653		a hip circumference
653		a mortality
653		a obesity
653		a waist circumference
700	1	a Romaniuk, Helena4 aut
700	1	a Orellana, Liliana4 aut
700	1	a Dallongeville, Jean4 aut
700	1	a Dobson, Annette J.4 aut
700	1	a Drygas, Wojciech4 aut
700	1	a Ferrario, Marco4 aut
700	1	a Ferrieres, Jean4 aut
700	1	a Giampaoli, Simona4 aut
700	1	a Gianfagna, Francesco4 aut
700	1	a Iacoviello, Licia4 aut
700	1	a Jousilahti, Pekka4 aut
700	1	a Kee, Frank4 aut
700	1	a Moitry, Marie4 aut
700	1	a Niiranen, Teemu J.4 aut
700	1	a Pajak, Andrzej4 aut
700	1	a Palmieri, Luigi4 aut
700	1	a Palosaari, Tarja4 aut
700	1	a Satu, Männistö4 aut
700	1	a Tamosiunas, Abdonas4 aut
700	1	a Thorand, Barbara4 aut
700	1	a Toft, Ulla4 aut
700	1	a Vanuzzo, Diego4 aut
700	1	a Veikko, Salomaa4 aut
700	1	a Veronesi, Giovanni4 aut
700	1	a Wilsgaard, Tom4 aut
700	1	a Kuulasmaa, Kari4 aut
700	1	a Söderberg, Stefanu Umeå universitet,Kardiologi4 aut0 (Swepub:umu)stso0001
710	2	a Umeå universitetb Kardiologi4 org
773	0	t Journal of the American Heart Associationd : John Wiley & Sonsg 9:13q 9:13x 2047-9980
856	4	u https://doi.org/10.1161/JAHA.119.015189y Fulltext
856	4	u https://umu.diva-portal.org/smash/get/diva2:1456781/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-173913
856	4 8	u https://doi.org/10.1161/JAHA.119.015189

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